# A.M.PALANCA-CAPISTRANO,M.D.INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** A.M.PALANCA-CAPISTRANO,M.D.INC
- **Other names:** Capistrano Eye Canter
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1184027112
- **Legal business name:** A.M.PALANCA-CAPISTRANO,M.D.INC
- **Authorized official:** DR. ANGELITA MARQUINEZ PALANCA-CAPISTRANO M.D. (CEO)
- **Authorized official phone:** (951) 372-9227

## Contact information

- **Practice address:** 13800 HEACOCK ST, SUITE C-110, MORENO VALLEY, CA 92553-3339
- **Practice address phone:** (951) 653-3388
- **Mailing address:** 19069 VAN BUREN BLVD, 114-219, RIVERSIDE, CA 92508-9169

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A91568 | CA | Yes |

## Other

- **Enumeration date:** 10/05/2014
- **Last updated:** 10/05/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1585438 | — | CA |